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Doctor insights on: When Ultrasound Shows Patchy Heterogeneity Of Thyroid

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What is this slight heterogeneity to echo texture of thyroid parenchtma but no nodules detected. Thyroid ultrasound done 1-8-15?

What is this slight heterogeneity to echo texture of thyroid parenchtma but no nodules detected. Thyroid ultrasound done 1-8-15?

Nonspecific: But this finding can be seen in thyroid diseases such as goiter (enlarged thyroid) and thyroid inflammation (thyroiditis). It can very often just be a normal finding. The ultrasound exam has to be correlated with your clinical exam and thyroid function tests. ...Read more

Dr. Michael Gabor
2,271 Doctors shared insights

Sonogram (Definition)

An ultraound, also known as a sonogram, is a painless and relatively inexpensive imaging test that utilizes sound waves instead of ionizing radiation. There are no side effects. Ultrasound can give us two-dimensional, and in some applications three-dimensional, images of structures and organs in virtually any part of the body. In addition to diagnostic uses, such as evaluating abnormalities in the abdomen, pelvis, and breast, ultrasounds are commonly used to guide needle and catheter placement in a variety of surgical ...Read more


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If my tsh low, t3 (liothyronine) and t4 is normal, is it hypo or hyper thyroidism? Should I take iodine? Ultra sound is normal, without pathology.

If my tsh low, t3 (liothyronine) and t4 is normal, is it hypo or hyper thyroidism? Should I take iodine? Ultra sound is normal, without pathology.

Hypothyroid: The answer to this question depends on what your exact levels are and what type of symptoms you have. "Subclinical Hypothyroidsim" sometimes presents in the manner you describe. ...Read more

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The abd ultrasound show everything normal, liver normal size but minimal heterogeneity in echo texture and midly prominent veins in splenic hilum.?

The abd ultrasound show everything normal, liver normal size but minimal heterogeneity in echo texture and midly prominent veins in splenic hilum.?

Ultrasound report: There will always be variability in looking at abdominal ultrasounds from one person to another. The detail you provided was just language used to describe subtle differences in what was being seen in your case compared to someone else's. There was nothing in that description that was alarming. ...Read more

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Ultrasound show spots on thyroid and liver, should I be concerned?

Ultrasound show spots on thyroid and liver, should I be concerned?

Depends: It depends on the characteristics of the "spots". Were the thyroid lesions described as cysts or nodules. Did they have microcalcification? Liver "spots" could be anything from benign hemangioma to cancer. So more detail is necessary. You can send me the report privately if you like. ...Read more

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I recently had an ultrasound done on my thyroid as I have a goiter. The ultrasound shows that there is a 3 mm nodule in the midpole right thyroid. There is a nodule in the midpole of the left thyroid measuring 12 x 10 x 11 mm. It contains a few punctate c

Need a biopsy: I would not be concerned about the 3 mm nodule but you should have the doctor who ordered the ultrasound refer you to someone who could do a fine needle biopsy on the larger one. If there are calcifications the risk of malignancy goes up but nodules of 12 mm are often benign and the biopsy could then reassure you ...Read more

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Would hashmitos or graves disease show up on a thyroid ultrasound?

Maybe: Hashimoto's disease is auto immune thyroiditis. It is diagnosed clinically and by thyroid auto antibodies such as antithyroglobulin antibodies and antithythroid microsomal antibodies. It may be inferred on a ultrasound. Hyperthyroidism is diagnosed clinically, by lab. And by a 24 hour RAI23 uptake and scan. ...Read more

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Thyroid ultrasound shows heterogenous hypervascular echogenicity. No nodules. Thyroid labs were normal. Any ideas on what this is?

Thyroid ultrasound shows heterogenous hypervascular echogenicity. No nodules. Thyroid labs were normal. Any ideas on what this is?

What thyoid labs?: There are many thyroid labs and most docs do not check enough of them? This ultrasound is consistent with grave's disease and thyroiditis. With grave's standard thyroid tests would usually be abnormal but might look ok with thyroiditis. Please make sure anti-thyroid antibodies (anti-tpo and anti-thyroglobulin) have been checked, as well as free t3 (liothyronine) and reverse t3 (liothyronine). ...Read more

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Does medullary thryroid carcinoma will show anything on an ultrasound? Nodules or tumor will be visible? Can it be present in a normal looking thyroid

Does medullary thryroid carcinoma will show anything on an ultrasound? Nodules or tumor will be visible? Can it be present in a normal looking thyroid

Resolution of U/S: Hi. Like all imaging modalities, there is a limit to what you can see with U/S looking at the thyroid. All cancers begin as a single cell gone bad that clonal expands (bear in mind possibility of multiple independent foci of MTC such as in MEN2's and FMTC), so at some point in their infancy, all MTC cancers are below the limit of resolution on U/S. Once nodules are biopsiable, FNA helps evaluate. ...Read more

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Will medullary thyroid cancer always show in a thyroid ultrasound? If not how do they find it?

Will medullary thyroid cancer always show in a thyroid ultrasound? If not how do they find it?

Thyroid cancer: Hello. Unfortunately cancer of the thyroid will not show up on an ultrasound. A nodule or a growth in the thyroid can be seen and identified. A tissue or needle biopsy is needed to examine the cells for cancer. An excisional biopsy if needed will provide the pathologist the entire gland which then will be examined and a diagnosis rendered. ...Read more

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I had a thyroid ultrasound done and it shows I have a new thyroid nodule that is 1.2cm. Previous one was 4mm now 6mm. Any concern?

Yes: Enlarging nodule needs clarification, by needle biopsy or excision likely.
If clearly a cyst, may be followed, but thyroid blood chemical testing may lead to taking thyroid as a suppressant.
Multinodular may be goiter.
Nevertheless clarity is important and treatment can be guided. ...Read more

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Ultrasound shows that I have large solid nodules in right and left thyroid lobes. Hypoechoic and heterogenous. Isthmus measures 7mm, is it malignant?

Thyroid nodules: Can't say for sure, but in a multinodular gland, unless one particular nodule is "dominant" or stands out because of suspicious features, they are presumed benign. Sometimes a nuclear medicine thyroid scan will identify a particular nodule to biopsy if it is "cold" on the scan ...Read more

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Thyroid biopsy six months ago revealed benign nodules. Recent ultrasound shows changes to nodules and now need to be rebiopsied. How likely to be b?

Thyroid biopsy six months ago revealed benign nodules. Recent ultrasound shows changes to nodules and now need to be rebiopsied. How likely to be b?

Not very likely: The majority of thyroid nodules are not cancerous. Only 5-10% actually turnout to be cancer. If nodules have suspicious findings or grow above a certain amount the risk increases. If first biopsy is inconclusive risk increases to about 15-20%. If significant changes are noted then repeat biopsy is the best. But keep in mind if turns out to be something, thyroid cancer is very easily treated. ...Read more

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Ultrasound shows 7 nodules; blood work is normal. History of thyroid cancer in family. Dr. Says wait a year and recheck. Good advice? Get 2nd opinion?

Ultrasound shows 7 nodules; blood work is normal. History of thyroid cancer in family. Dr. Says wait a year and recheck. Good advice? Get 2nd opinion?

Sounds Ok: Annual re-examination is usually fine, and if any of the nodules reveal 15-20% growth, sampling with a needle (biopsy) can be considered at that time. ...Read more

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Hypothyroidism with goiter and hear gurgling noise from my thyroid. Should I be concerned. Last ultrasound show slow nodule growth?

Hypothyroidism with goiter and hear gurgling noise from my thyroid. Should I be concerned. Last ultrasound show slow nodule growth?

Yes if enlarging: If goitor gets bigger and this does not resolve within 2 weeks get another u/s and see endocrinologist for labs and possible fine needle aspiration biopsy, if it is cancer, if caught early it is bets chance, could be pressing on blood vessel causing the sounds, but very unusual this sound so get tested ...Read more

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My thyroid ultrasound shows diminished size of the thyroid gland. Its 4.5 mm but perfect in shape. My tests results were : TSH 2.70 ft3 2.84 ft4 11.1?

My thyroid ultrasound shows diminished size of the thyroid gland. Its 4.5 mm but perfect in shape. My tests results were : TSH 2.70 ft3 2.84 ft4 11.1?

Normal function: Your thyroid function tests are within normal limits. Size of the gland, unless abnormally enlarged, is not an issue. ...Read more

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Thyroid nodule at 3.4 x 4.7 x 2.3cm. Blood tests confirm all is normal. Ultrasound shows heterogeneous iso/small area hypechoic. Chances of cancer?

Thyroid nodule at 3.4 x 4.7 x 2.3cm. Blood tests confirm all is normal. Ultrasound shows heterogeneous iso/small area hypechoic. Chances of cancer?

Yes, some: You need to see an endocrinologist. Who would likely do a fine needle aspiration (fna) biopsy. Thyroid cancer needs to be ruled out by further testing. It has to be a consideration in your case. But thyroid cancer is easily treatable and highly curable (>95%). ...Read more

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Hashimito's plus thyroid nodule. FNA benign 1 year ago. Repeat ultrasound shows thickened isthmus from what was 4 MM to 6MM. Is this same as goiter?

Hashimito's plus thyroid nodule. FNA benign 1 year ago. Repeat ultrasound shows thickened isthmus from what was 4 MM to 6MM. Is this same as goiter?

Possibly: Hashimoto's thyroiditis is chronic lymphocytic thyroiditis based on autoimmunity. On gross examination, there is often a hard goitre, not painful.
Goiter is an abnormal swelling of thyroid resulting in a lump in the neck. It arises from many causes, including under- or overactive thyroid, iodine deficiency and, rarely, thyroid cancer If nodule enlarges and is cold may need bx again ...Read more

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Thyroid ultrasound show mild diffused parenchymal hyper vasuclarity.3mm hyperechoic nodule in the lateral aspect in the left lobe thyroid normal > tsh?

Thyroid ultrasound show mild diffused parenchymal hyper vasuclarity.3mm hyperechoic nodule in the lateral aspect in the left lobe thyroid normal > tsh?

Possibly thyroiditis: Hypervascularity is a typical finding in people with underlying autoimmune thyroiditis (hashimoto's or graves disease). The 3 mm nodule is likely of no significance and can be watched. You need to know your TSH level. Getting thyroid antibodies (thyroid peroxidase, thyroglobulin antibodies) would be helpful in making a diagnosis. ...Read more

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Thyroid ultrasound shows new mural nodule, calcifications, masses, lesions, and lymphadenopathy. Possible cancer?

Thyroid ultrasound shows new mural nodule, calcifications, masses, lesions, and lymphadenopathy. Possible cancer?

Possible cancer: With your description cancer is a possibility but by no means certain.
Where is the lymphadenopathy?

An imaging study with biopsy is what is needed here. Please have your doctor schedule this.

Hope all goes well. ...Read more

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3cm hypoechoic solid vascular thyroid nodule with a cluster of hurthle cells, fna benign, follow up ultrasound now shows microcalcifications. Cancer?

3cm hypoechoic solid vascular thyroid nodule with a cluster of hurthle cells, fna benign, follow up ultrasound now shows microcalcifications. Cancer?

Not necessarily...: The fact that FNA was reported as benign, the nodule is unlikely to be malignant. Small droplets of benign colloid often mimic "microcalcificatins" of papillary tumor, hence caution is advised. I would suggest repeating the FNA, and consider also collecting samples for gene profiling studies, such as, those manufactured by Veracyte and Asuragen (Note:I have no financial/other interest.) ...Read more

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Had my 36 week ultrasound and it shows babys cord wrapped around neck with a. 67 resistence index also a grade 3 placenta. How dangerous is this?

Had my 36 week ultrasound and it shows babys cord wrapped around neck with a. 67 resistence index also a grade 3 placenta. How dangerous is this?

Snapshot in time: This just means you need to be in close contact. If babies been growing nl this should be ok. I've had healthy infants with up to 5 neck wraps or 2 true knots. They are worrisome and suggest the child may not do well in labor with the increased stress.A c-section delivery is more likely and an early trip to the l&d area anytime you think you are having contractions is worth considering. ...Read more

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I did a neck ultrasound and on the report is show: "largest lymph node 1.4 cm", impression: "lymph nodes normal size". How can it be normal size?

I did a neck ultrasound and on the report is show: "largest lymph node 1.4 cm", impression: "lymph nodes normal size". How can it be normal size?

The size: Of the lymph node is not the only factor in deciding whether a lymph node is abnormal. The shape of the lymph node, the vascularity, and the cortex thickness are all important in helping to determine whether it is abnormal. That said, a 1.4cm (long axis diameter) neck lymph node would be considered within normal range assuming the other features are also normal. ...Read more

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What can ultrasound of neck lymph nodes show?

Normal lymph nodes: Have a kidney bean appearance with fat in the central part of the node. This configuration usually persists when nodes are enlarged by a benign inflammatory response. Nodes involved with cancer cells often loose the central fat, enlarge asymmetrically, have an irregular outer surface, and show increased blood flow in the outer surface of the node. ...Read more

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What does a soft tissue ultrasound of the head and neck show?

What does a soft tissue ultrasound of the head and neck show?

Abnormal: Masses such as tumors, cysts, abscesses, or enlarged lymph nodes. Can show inflammatory changes of regional structures such as salivary glands. ...Read more

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My nuchal ultrasound shows the measurement at 2.1mm of the neck at 13w 2d. Is this bad?

My nuchal ultrasound shows the measurement at 2.1mm of the neck at 13w 2d. Is this bad?

No: St this gestational age, an increased risk of trisomy is not seen until the neck fold thickness is near 3mm ...Read more

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Diagnosed with me 18 months ago. Clear blood tests. Ultrasound of neck shows several lymph nodes but all under 1cm. Is this ok or could it be lymphoma?

Diagnosed with me 18 months ago. Clear blood tests. Ultrasound of neck shows several lymph nodes but all under 1cm. Is this ok or could it be lymphoma?

< 1 cm SA = good: Lymph nodes with short axis measurements of less than 1 cm are not, technically, considered adenopathy, although widespread early metastatic disease cannot be excluded (would require a pet scan). The lack of anything else worrisome per history is reassuring. I don't know what "me" is, but ultrasound surveillance of the neck nodes in 4-6 months to ensure stability would be helpful. ...Read more

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What could cause only the lymph nodes on the left side of my neck to be swollen (2cm) and have a tender feeling especially to touch, that an ultrasound won't show?

What could cause only the lymph nodes on the left side of my neck to be swollen (2cm) and have a tender feeling especially to touch, that an ultrasound won't show?

Enlarged neck node: Although infection in sinus and throat can lead to enlarged neck nodes, biopsied will be needed if it persists to rule out lymphoma and other head and neck malignancy. ...Read more

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What does ultrasound show in assessing swollen lymph nodes in my neck?

What does ultrasound show in assessing swollen lymph nodes in my neck?

Size Characteristics: The exam will show the size and evaluate if the normal architecture of the lymph nodes has been preserved or disrupted. The thyroid will probably be examined to check for any evidence of tumor. ...Read more

Dr. Tanya Russo
13 Doctors shared insights

Thyroid (Definition)

The thyroid is an endocrine gland that sits in the lower part of the neck. It produces thyroid hormone - which ...Read more